Taking less than 20 mg per day is also considered safe. So how often is it safe to take prednisone? According to experts, either taking the drug every other day, or only in the morning helps in treating the condition, and reduce the chances of side effects.
Dr. Domingues adds that people who are on a very low dose of prednisone, perhaps 5 mg, should not be terribly concerned about the drug putting them at increased risk. When in doubt, always call your doctor. If you and your doctor decide that you no longer require corticosteroids, do not attempt to stop them cold turkey.
What to do about:
What Mood Changes to Expect on Low-Dose Prednisone?
Because prednisone can be used for so many different reasons, that affects what is expected for your situation. Doctors from any specialty can prescribe prednisone to help with inflammation. The dose the doctor prescribes depends on which diagnosis and how bad of a situation.
The worst, most acute or life-threatening situations receive the highest dosage for a short time. For example, when a person with multiple sclerosis (MS) suddenly loses vision, the neurologist doctor usually prescribes an extremely high dose of around 1000 mg a day for only a few days. That high of a dose is justified for preventing permanent blindness. Giving a super high dose for only a few days is called a bolus. But doctors rarely prescribe that high of a dose for more than a few days at a time because of the high risks of side effects.
For example, people with rheumatoid arthritis (RA) often use prednisone 5-10 mg per day for years. The RA causes so much pain and disability to justify continued use over a long time.
But doctors rarely prescribe that high of a dose for more than a few days at a time because of the high risks of side effects. Usually the vision will return to normal and the person with multiple sclerosis will stop taking prednisone.
While this is true for all drugs, it is especially true for prednisone because of the high risks of side effects. Only take prednisone if the benefits outweigh the risks.
Here is a 12-day taper schedule for high dose prednisone from a dermatologists office:
Prednisone can treat inflammation from short term infections or allergic reactions but is also used to manage chronic conditions like lupus, Crohn’s, rheumatoid arthritis and severe asthma.
Those high daily dose is usually tapered off over the course of a few days to avoid adrenal exhaustion and withdrawal effects. You see, when you introduce prednisone (which the body recognizes as cortisol) to the body, the adrenals stop making their own supply.
Cortisol is produced by the adrenal glands that are located right atop your kidneys . Cortisol is produced and sent into the blood stream as a response to stress and nutrition demands. It suppresses the immune system, creates glucose when you have low blood sugar and aids in metabolism of fat, protein and glucose. It also decreases bone formation, which is why long term therapy increases the risk of osteoporosis and bone fracture.
The theory behind tapering off of steroids like prednisone is that by slowly removing the external steroid source, the body can adapt and begin making its own again with less stress placed on the system. The practice of tapering in short term therapy, even in higher doses is debated by many clinicians.
Cortisol has gotten some bad press in the popular media for it’s ability to “pack on the pounds” and has been labeled with negative connotations as a “stress hormone.”.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use.
Drug information provided by: IBM Micromedex. Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance for unwanted effects.
1 In most cases, tapering is needed if you have been taking prednisone orally for more than three weeks.
To avoid prednisone withdrawal, the drug should be gradually reduced in stage according to a specific schedule prescribed by your doctor. An exception is if prednisone has been given over a very short period of time. Don't try to stop or taper prednisone without your doctor's knowledge or advice.
If you take prednisone for more than a few weeks, your adrenal glands will decrease the natural production of cortisol. If you stop prednisone abruptly before production is restored, the lack of hormone can trigger an array of withdrawal symptoms.
What to Expect. When people first decrease the dose, it's not uncommon to feel achy or fatigued. 2 These symptoms often resolve over two to seven days. If symptoms don't resolve, a doctor may elect to temporarily increase the dose and taper more slowly.
In some cases, the tapering process may extend from weeks to several months.
For patients who haven't been taking steroids for a long period of time, the doctor may decrease the dose on a daily basis. The dose may be decreased monthly for patients who've been on the medication for a long period.
Some people may have difficulty tapering off steroids despite incremental tapers of only 1 milligram. Occasionally, tapering on an every-other-day basis may be useful. For example, instead of tapering from 4 milligrams to 3 milligrams of prednisone, a doctor may prescribe taking 4 milligrams one day and 3 milligrams the next day, ...
What is Short-Term Prednisone? According to some definitions, less than 21 days is short-term. Other research defines it as less than 30 days. Finally others define short-term prednisone as a prescription lasting less than 3 months.
Here are the short-term side effects of prednisone, starting from head to toe. 1. Brain. UpToDate said that you may feel “an improved sense of well-being within several days.”. According to Warrington and colleagues at the Mayo Clinic, at the beginning of taking prednisone, you might feel euphoria and hypomania.
Prednisone causes changes to how fat distributes across the body. First it causes moon face, a round puffy face with swollen cheeks. Next it causes abdominal weight gain, making some people feel like they look pregnant with a big belly. It can also cause a buffalo hump of fat deposits on the shoulder and neck area. Normally this takes more than a month to show up, but can happen earlier based on how high of a dose you are taking.
steroid dementia: most severe, causing memory loss and inability to function normally .
English translation? Taking prednisone for a short amount of time doesn’t normally cause side effects.